NPIMap

Organization Active NPI

Central Carolina Medical Clinic, P.a.

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1912008327
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2000-00566 Issued in NC
Legal business name
CENTRAL CAROLINA MEDICAL CLINIC, P.A.
Practice address
6404 Albemarle Rd
Suite J&K
Charlotte, NC 28212-3800
Phone
(704) 532-8884
Fax
(704) 532-8789
NPI assigned
Sep 26, 2006
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tuong Nguyen, M.D.NPI 1801997317
Title
Physician
Phone
(704) 532-8884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Family Medicine Physician 207Q00000X 2008-00070 NC
Internal Medicine Physician 207R00000X 2000-00566 NC Primary

Addresses

Primary practice location

6404 Albemarle Rd
Suite J&K
Charlotte, NC 28212-3800

Mailing address

6404 Albemarle Rd
Suite J&K
Charlotte, NC 28212-3800
Phone (704) 532-8884

National Provider Directory

National Provider Directory

Locations

6404 Albemarle Rd
Ste J
Charlotte, NC 28212
Phone (704) 532-8884

6404 Albemarle Rd
Ste Jk
Charlotte, NC 28212
Phone (704) 532-8884

6404 Albemarle Rd
Ste Jl
Charlotte, NC 28212

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1912008327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 ALBEMARLE RD",
            "address_2": "SUITE J&K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123800",
            "telephone_number": "704-532-8884",
            "fax_number": "704-532-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 ALBEMARLE RD",
            "address_2": "SUITE J&K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123800",
            "telephone_number": "704-532-8884",
            "fax_number": "704-532-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA MEDICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUONG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-532-8884",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-00070",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2000-00566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.